Provider Demographics
NPI:1023089455
Name:HUFFMAN, ALLEN J (DC, PT)
Entity type:Individual
Prefix:
First Name:ALLEN
Middle Name:J
Last Name:HUFFMAN
Suffix:
Gender:M
Credentials:DC, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:11418 LIVINGSTON RD
Mailing Address - Street 2:
Mailing Address - City:FT WASHINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20744-5145
Mailing Address - Country:US
Mailing Address - Phone:240-766-0300
Mailing Address - Fax:240-766-0301
Practice Address - Street 1:4301 GARDEN CITY DR
Practice Address - Street 2:STE 104
Practice Address - City:LANDOVER
Practice Address - State:MD
Practice Address - Zip Code:20785-2210
Practice Address - Country:US
Practice Address - Phone:301-577-1115
Practice Address - Fax:301-577-6487
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-01
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDS02014111N00000X
VA0104555561111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor